Claims Assistant

General Definition of Work

Performs intermediate skilled administrative support work entering claims into the Association's database, preparing and processing insurance or workers' compensation claims invoices, assisting with a variety of office support activities, answering telephones, preparing and maintaining detailed and/or confidential records and files, and related work as apparent or assigned. Work is performed under the close supervision of the Claims Services Supervisor.

• Supports the Association's "Four Pillars," civic engagement, leadership development, legislative advocacy, and membership services through the support of division or program staff and interaction with local governments and authorities; has knowledge of and general understanding of the programs and services offered by the Association and provides outstanding customer support that reflects well on the entire Association.
• Provides and exhibits outstanding customer service, teamwork, and organizational commitment.
• Answers telephones; provides information to County officials and staff; forwards call to appropriate party; greets visitors; distributes incoming faxes and provides support to assigned program functions and staff.
• Enters a variety of program related information into the Association's database including but not limited to deductible payments received, workers' compensation and/or property and liability claims; ensures policy/insurance data is attached to the claim before forwarding to Claims Examiner by appropriate party; verifies statistical or other records for accuracy and completeness; enters and retrieves sensitive and restricted information into the Association computer system.
• Generates and distributes Property & Liability (IRMA) deductible invoices; follows-up on outstanding invoices. Prepare Property and Liability department bills for payment; enter vendors into Riskonnect claims system.
• Draft, update, and review for accuracy a variety of documents including Association correspondence, authorized physician panels, forms, reports, etc. where knowledge of format and presentation is necessary, answers routine correspondence independently.
• Receive, maintain, and administer documents for the Claims Department, including date stamping, logging, printing, copying, scanning, distributing via various channels i.e., postal mail, email, and uploading to information systems such as Docu-Class.
• Serves as backup to Claims Technical Assistant: enter payment requests into Riskonnect claims system for approval and payment; print checks as approved by supervisor. Upload financial report to Truist for funds transmission and payment.
• Receive bills for inmate treatment, forward bills to Accuro for processing. Receive edited bill from Accuro and return bill to the County for payment.

• General knowledge of standard office practices, procedures, equipment and administrative support techniques.
• General knowledge of business English, spelling and arithmetic; general knowledge of departmental and organization programs and policies.
• Skills in the use of standard office software applications, specifically Microsoft Office products, including Outlook, Word and Excel.
• Ability to type accurately at a reasonable rate of speed, make arithmetical calculations.
• Ability to follow oral and written instructions, read and understand detailed and complicated policies, procedures and materials that contain specialized words and phrases.
• Ability to operate a variety of standard office equipment including personal computer and associated software.
• Ability to establish and maintain effective working relationships with associates, claimants, local government officials, customers and the general public.

• High school diploma or GED and moderate (minimum 3 years) progressive experience in general clerical work which included customer service, or equivalent combination of education and experience.

• This work requires the occasional exertion of up to 25 pounds of force.
• Work regularly requires sitting, speaking or hearing, using hands to finger, handle or feel and…